MIDWIVES ADVANTAGE
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Information for
​Midwife Clients

Congratulations on Choosing a Midwife! 

  • Our services are only for people using a midwife that is part of our company.
  • Ask your midwife if she is registered with Midwives Advantage for claims submission before sending your insurance information.
  • ​Please make sure your insurance company has your current mailing address. 
  • If your address or insurance policy changes, please update us.
  • Follow this link to complete patient insurance information  form. 

How Midwives Advantage Works

Midwives Advantage contracts with midwives and their clientele to submit claims to insurance companies for maternity services. Midwives become a part of our corporation as contracted providers, and they gain a back-office staff to verify insurance benefits, submit claims, and process insurance payments. 

​GENERAL INFORMATION
  • Claims are billed under our affiliated corporate names, not your provider/birth center name. As such, documents from your insurance will have our corporate name and a Texas address.
  • Due to the use of a surgical instrument (scissors) to cut the newborn's umbilical cord, some insurances will classify a vaginal delivery as surgery or to the facility as an operating room. We submit charges based on how/where the birth was performed, but the insurance companies get to decide on their own descriptions. 
  • You must have maternity benefits and out-of-network coverage at the time of service for us to be able to submit your claims. Claims can be processed up to one year from the date of delivery.
  • Professional claims are for prenatal care, delivery, care during a transfer, postpartum care, lactation assistance, and newborn exams.
  • Facility claims are for the supplies and care provided during labor. A facility is any entity that provides a setting for labor, delivery, and immediate postpartum. Licensing is not a requirement to qualify as a birthing center. A facility claim is filed for you and your newborn whether the equipment for birth is taken to you (home) or you travel to the location (birth center) of the equipment for birth.
  • If your labor requires a transfer to the hospital for delivery, a facility claim will be submitted to cover labor observation and supplies for labor.
  • An EOB is a statement from your insurance company. You will not receive a bill from your insurance company for services.
  • Your financial agreement with your midwife determines your out-of-pocket expenses.
  • Your provider is independently contracted with Midwives Advantage. Once we receive the insurance payment, we pay your provider on the next payroll cycle.
  • You agree to forward all funds from your insurance to our payroll department for processing.
  • To deposit insurance checks from your smartphone, email payroll@midwivesadvantage.com for instructions. To deposit electronically, you will need to install the Chase Banking app on your device, and you will be provided a login to make the deposit. Watch a quick video to see how to complete a mobile deposit.
  • Funds can be mailed to Midwives Advantage, 216 Tower Rd, San Antonio, TX 78223
  • ​Any refund due to you will be issued to you by your midwife after the payment is processed, and all parties are compensated. 
  • Patients cannot profit from their insurance.​
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Midwife Resources We Highly Recommend

Midwifery Business Consultation
Midwifery Business Consultation provides guidance, support, and resources to elevate any midwifery practice.  Extensive resources in the areas of billing, accounting, contracting, business plan writing, and midwifery clinical expertise is available to make your midwifery practice thrive!  
click here to learn more
Empowering Midwifery Education
Empowering Midwifery Education has a series of educational courses devoted to midwives and being entrepreneurs in today's fast paced health care system. Look through our series of great courses to learn about tax savings, accounting, policy creating, starting a home birth practice, starting a birth center practice, marketing, and so much more!
click here to learn more
Ultrasound for Midwives
We are excited to promote opportunities for midwives to expand their skill sets like this new ultrasound course for midwives. Ultrasound for Midwives is designed for any midwife (CNM, CM, CPM, LM, DEM) or Nurse Practitioner considering offering ultrasound services to their practice and prep for the Midwife Sonography Examination of the American Registry of Diagnostic Medical Sonographers (ARDMS). This online course has over 8hrs content including Point of Care, limited, obstetric and basic gyn ultrasound, business implementation, and billing tips. 
click here to learn more
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 Copyright 2022 Midwives Advantage
  • Home
    • About Us
    • Our Advantage
  • SCHEDULE A CALL
  • MIDWIFE INFO
  • Midwife Clients
    • Verify Insurance Benefits
    • Information After Claims Are Filed
  • Blog